Tyler S. Tedmon-Jones, LPC, LCAT, BC-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-1664 Issued in WY

Practice address

507 S 4TH St Ste B-2
Laramie, WY 82070-3753

Phone

(917) 671-8274

Fax

(307) 460-9084

NPI assigned

Sep 29, 2010

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Somatic Revelations, LLC

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1285251967
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1730498346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820738672",
            "telephone_number": "412-760-2447",
            "fax_number": "718-388-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S 4TH ST STE B-2",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703753",
            "telephone_number": "917-671-8274",
            "fax_number": "307-460-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDMON-JONES",
        "first_name": "TYLER",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LPC, LCAT, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1664",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "001383-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Tanner
• Nicole Tarbett
• Casara Tate
• Mitchel Taylor, OD
• Tracey Nicole Tedder, BSW
• Stephannie Ann Teini, M.S.
• Emma Telgenhoff, PCSW
• Elizabeth Temple
• Trey Alan Temsik I, CMT
• April Tenorio

• Mental Health Counselor in Laramie, WY
• Providers in Laramie, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.